Provider Demographics
NPI:1679458939
Name:COMEAUX, MICHELE
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:COMEAUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10592 FUQUA ST
Mailing Address - Street 2:A- 179
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-1443
Mailing Address - Country:US
Mailing Address - Phone:346-538-9053
Mailing Address - Fax:
Practice Address - Street 1:7718 N COUNTRY SPACE LOOP
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3369
Practice Address - Country:US
Practice Address - Phone:346-538-9053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69082101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)